The Indian operation of couching for cataract

• A
• Abu el Kasim, 2, 4
• Accidental injuries during couching, 46
• Advocacy (modified) of couching, 10, 11, 12
• Ægineta, Paulus, 3
• Age of patient, usual in couching, 27
• Albertotti, 10
• Alexandria, ophthalmic surgeons in, 1
• Anæsthesia during couching, 15, 21
• Anatomical examination of couched eyes, by Collins, 11;
• by Hudson, 11;
• by Kirkpatrick, 11;
• by Parsons, 10
• Anterior chamber, 55
• albuminous exudates in, 56
• blood in, 56
• lens matter in, 56
• pus in, 56
• scantiness of contents, 55
• vitreous substance in, 56
• Anterior operation, 14
• Antiquity of couching, 1
• Antillus, 7
• Apology for the coucher, 23
• Avicenna, 2, 3, 4
• B
• Bartisch, 5
• Basso, 11
• Bell, Benjamin, 7
• Benvenuto, 4
• Bland-Sutton, Sir John, 1
• Brisseau, Pierre, 7
• C
• Capsulo-corneal synechia, 46
• Cataracts, entangled in vitreous exudate, 39, 81
• fixed in vitreous chamber, 40, 80
• floating freely in vitreous, 39
• matted in inflammatory tissue, 43
• peculiarities of, in India, 32
• Causes of failure after couching, 28
• Celsus, 1, 2, 3, 7, 90
• Charlatanism, 6, 7, 20
• Chemotaxis, 61, 63
• Choroid, 73
• changes in, due to hypotony, 73
• detachments of, 73
• Choroidal vessels unusually distinct, 74
• Collins, E. T., 11, 12, 73
• Comparison of depression and reclination, 88
• of pain after couching and after extraction, 86
• of scleral and corneal routes for operation, 89
• Condemnation of couching, 11, 22, 26, 77
• Copper probe, 16, 17, 51
• Cornea, fistula of, 46, 78
• scars in, 16, 46, 78
• Coucher, descriptive titles of, 19
• Coucher’s methods, 20, 33
• Cusson, 7
• Cyanopsia, 32
• D
• Dark Ages, couching in, 6, 20
• Daviel’s extraction, 7
• Delayed iridocyclitis, 28
• Demonstration of couched cataract, method of, 79
• Depression of cataract, 8, 88
• Diagnosis of couching having been performed, 77
• Difficulties in deciding surgical questions in India, 84
• Difficulty of couching, 11, 90
• Dislocation of cataract, backward, 39
• behind retina, 45, 88
• between ciliary body and sclera, 88
• forward, 36, 87
• in front of anterior hyaloid membrane, 44
• partial, 81
• Drake-Brockman, E. F., 22
• Drake-Brockman, H. E., 9, 22
• E
• Ekambaram, 10, 11, 16, 17, 24, 26, 49
• Extraction of cataract, 7
• Extraction of couched cataract, 61, 77, 82, 83, 84
• F
• Fees of couchers, 22
• Fixation of lens, degree of, 82
• Fowl’s blood, use of, by couchers, 18, 20
• Fundus reflex absent, 81
• G
• Galen, 3
• Glaucoma, 28, 29, 74
• after couching, 86
• causes of, after couching, 75, 76
• frequency of, after couching, 74, 75
• Government servants as couchers, 22
• H
• Habits of couchers, 19
• Hæmorrhage after couching, 67
• Haly Abbas, 2
• Hay, William, 7
• Headquarters of couchers, 19
• Hindu couchers, 19
• Hirschberg, 9
• Histories of Indian patients, unreliable, 77, 82
• Hudson, A. C., 11
• Hyphæma, 56
• Hypopyon, 56
• Hypotony, effect of, on uveal tract, 73
• I
• Imperfect dislocation of cataract, 28, 29
• Incision, variation of site of, in couching, 49
• Indian Medical Service Officers and couching, 9
• Instruments for couching, 4, 16, 20
• Invention of couching, first, 2
• Iridocyclitis, 25, 28
• Iris, atrophy of, 78
• flat plane of, in couched eye, 77
• scars in, 16, 78
• tremulous, 78
• Iris bombé, 55
• J
• Jesu Haly, 2
• K
• Kirkpatrick, H., 11, 61, 84
• Knife, guarded, 16
• L
• Lens, calcification of, 55
• Listerism, influence of, on couching, 9
• M
• Mackenzie, 7, 90
• Magic, element of, in couching, 24
• Mahomedan couchers, 19, 21
• Maynard, F. P., 11
• Membrane, dried pieces of, used by couchers, 20
• Metabolic changes in development of cataract, 33
• Miracles, early Christian, 18
• Mistakes in diagnosis, couchers’, 23, 29, 30
• Morgagnian cataracts, 27, 90
• O
• Ophthalmoscopy of couched eyes, 31, 80
• Optic atrophy, 28, 29
• Optic neuritis, 30, 63
• P
• Pain during couching, 15
• following couching, 85, 87
• causes of, 86
• Panophthalmitis, 25, 52, 82
• Parsons, J. H., 10
• Pathological material available, 35
• Philoxenes, 1
• Phthisis bulbi, 82
• Position of couched cataract, recognition of, 77, 79, 80, 82
• Posterior operation, 16
• Pott, Percival, 7
• Power, Henry, 10
• Punjabi couchers, 21
• Pupil, blackness of, in couched cataract, 77
• occlusion of, 81
• Q
• Quartillera, 11
• R
• Razes, 2
• Reascension of couched cataract, 89
• Reclination of cataract, 7, 8, 88
• Reluctance to remove couched lenses, 77
• Removal of couched lens, 61
• Results of couching, 25, 26, 27
• Retina, cysts of, 65, 70, 73
• dots on, 68
• dots on, frequency of, 68
• dots on, pathology of, 69
• Retinal changes ascribed to couching, 30
• Retinal detachment, 28, 29, 64
• causes of, 64, 65, 66
• due to operative traumatism, 68
• stick-like, 65
• Retinal pigment, changes found in, after cataract-extraction, 32
• Retinal pigment, changes in, found in couched eyes, 31, 32
• Retino-corneal synechia, 46
• S
• Sandalwood paste, 17
• Scarpa, 7
• Scarpa’s needle, 8
• Sclera, scars of, 49, 78
• Scleral fistula, 50
• Smith, H., 11, 22, 26
• Social status of couchers, 22
• Sprengel, 1
• Statistics of couching, author’s, 11, 22, 25, 26
• Kirkpatrick’s, 11, 25
• Maynard’s, 10, 22
• Straub on experimental hyalitis, 61
• Subretinal exudate, 67
• Suction of cataract, 7
• Suppression of couching, 34
• Sympathetic ophthalmia, 29, 55
• T
• Tabri, 2
• Technique of couching, Abu el Kasim, 4
• Avicenna, 4
• Bartisch, 5
• Benvenuto, 4
• Brisseau, 7
• Celsus, 2, 3
• Indian operators, 10, 14, 16, 25
• Mackenzie, 7
• Thorn used in couching, 14
• Tobit, recovery of sight of, 1
• Transillumination of couched eyes, 80
• U
• Uveal coat, calcification of, 55
• Uveal tract, injuries of, 50
• Uveitis, plastic, 52
• Uveitis, proliferative, 55
• V
• Visual results after couching, 27
• Visual results of couching and extraction compared, 28
• Visual tests employed by couchers, 16
• Vitreous body, infiltration of, 59
• Vitreous chamber, 56
• cone of exudate in, 30, 43
• cone of exudate in, altered artificially, 60
• cone of exudate definitely pathological, 60
• filmy exudate in, 62
• Vitreous exudate, fibrous organisation of, 59, 64
• Vitreous opacities, 28
• W
• Ware, James, 7
• Willburg, 7

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